EMERGENCY MEDICAL RESPONSE

Primary & Secondary Survey

100

The mnemonic for:

Danger

Response

Circulation

Airway 

Breathing

What is DRCAB?

200

This is the initial check for life-threatening conditions/injuries.

What is the PRIMARY SURVEY?

300

This includes a complete head to toe exam and is only to be interrupted for deterioration in DR CAB.

What is the SECONDARY SURVEY?

400

Your patient is not responding verbally, not opening their eyes to voice, and no motor response. Calculate GCS.

What is GCS of 3?

500

One to the right center of chest, above nipple. One below nipple, to left of ribcage. 

What is correct AED pad placement?

Hemorrhage Control/EZ IO

100

This type of bleeding is bright red and spurts or pumps from the wound.

What is ARTERIAL BLEEDING?

200

If in your scope, apply to all bleeding/hemorrhaging patients, regardless of SpO2 readings.

What is OXYGEN?

300

These are indicated for sealing open thorax penetrating wounds and allowing for venting of air and/or blood. Creates a superior seal. Has 3-channel pressure relief vents. 

What are HyFin Vent Chest Seals?

400

1. Direct pressure

2. Wound packing

3. Pressure point

4. Tournique application

What are techniques to stop bleeding? (answers may vary)

500

Some of these are: Infection at insertion site, Recent fracture of target bone, hardware at site, previous IO at target bone within 48hrs, unable to identify landmarks.

What are IO contraindications?

Airway Adjuncts & Waveform Capnography

100

Contraindication for patients who may have a skull fracture.

What is NPA?

200

The immediate next action when OPA inserted if a patient gags.

What is REMOVE IT?!

300

When checking your EMR bag, your oxygen tank is considered EMPTY if psi levels are at this or below.

What is 1000psi?

400

When administering Narcan for unresponsive/altered patients, we do this to move the Narcan thru the nasal mucosa.

What is provide RESCUE BREATHS VIA NRB?

500

The capnogram for an asthma attack.

What is SHARKFIN pattern/waveform?

Chest Pain & Suspected Cardiac Emergencies/SMR-Spinal Immobilization

100

Defined as EKG showing greater than 1mm ST segment elevation in two or more contiguous leads.

What is a STEMI?

200

This population may experience them: women, elderly, neuropathic conditions and diabetics.

What are SILENT MI'S?

300

Some are shortness of breath, JVD, rales/crackles on pulmonary exam.

What are signs of CHF?

400

Examples are: Gunshot wound to back with no neurologic complants. Combative patient posing serious risk to staff safety.

What are CONTRAINDICATIONS FOR SMR/IMMOBILIZATION?

500

Increased pain

Agitation

Delay in transfer

Excess radiology studies

Aspiration

Increased ICP

Higher mortality and morbidity

What are RISKS OF SMR/SPINAL IMMOBILIZATION?

ALOC/Neurovascular Emergencies

100

Ratio of chest compressions to breaths.

What is 30:2?

200

A viral infection of the facial nerve that can mimic stroke symptoms. 

What is BELL'S PALSY?

300

Slurred speech, face drooping, arm weakness.

What are SIGNS OF A STROKE?

400

You find a patient with pupillary constriction, ALOC, respiratory depression, drug paraphernalia on scene. Treatment:

What is GIVE NARCAN?!

500

The tissue surrounding a brain infarction. Providing oxygen is an important intervention to protect this area at risk.

What is PENUMBRA?